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Xanthogranulomatous inflammation requiring small bowel anastomosis revision: A case report

作     者:William Wang Maria Korah Kovi E Bessoff Jeanne Shen Joseph D Forrester 

作者机构:Department of BiologyStanford UniversityStanfordCA 94305United States Department of BioengineeringStanford UniversityStanfordCA 94305United States Division of General SurgeryDepartment of SurgeryStanford UniversityStanfordCA 94305United States Center for Artificial Intelligence in Medicine and ImagingStanford UniversityPalo AltoCA 94304United States Department of PathologyStanford University School of MedicineStanfordCA 94305United States 

出 版 物:《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志(英文版)(电子版))

年 卷 期:2023年第15卷第3期

页      面:488-494页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Xanthogranulomatous inflammation Chronic obstructive symptoms Terminal ileum Bowel anastomosis Bowel resection Case report 

摘      要:BACKGROUND Xanthogranulomatous inflammation(XGI)is an uncommon process involving an accumulation of inflammatory cells,commonly lipid-laden *** has been described to occur throughout the body but only rarely in the lower gastrointestinal *** describe a case of XGI contributing to chronic obstructive symptoms in the terminal ileum,in which the patient had an initial diagnostic laparoscopy,continued to have symptoms,then proceeded to have the definitive *** our knowledge,this is the first report of XGI associated with a prior small bowel *** SUMMARY We report the case of a 42-year-old female who presented with intermittent epigastric pain and subjective *** had undergone a laparoscopic small bowel resection for Meckel’s diverticulum five years *** workup was notable for computed tomography scan demonstrating mild inflammation and surrounding stranding at the level of the prior *** underwent a laparotomy,resection of the prior anastomosis and re-anastomosis,with final histopathological examination findings consistent with mural *** XGI can occur at the site of a prior bowel anastomosis and cause chronic obstructive symptoms.

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